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LARC Symposium Long-Acting, Reversible Contraceptive Clinical Training
June 6 & 7, 2016 · Colorado Convention Center
The Colorado Department of Public Health & Environment welcomes you to the 2016 LARC Symposium.
Schedule at a Glance Page 3 Detailed Schedule Pages 4-6 Speaker Bios Pages 7-13
Time
8:00 a.m.—9:00 a.m. 9:00 a.m.—10:15 a.m. 10:30 a.m.—2:00 p.m. 12:00 p.m.—12:30 p.m. 12:30 p.m.—4:30 p.m. 4:30p.m.—5:30 p.m.
8:00 a.m.—9:00 a.m. 9:00 a.m.—10:25 a.m. 10:30 a.m.—11:45 a.m. 12:00p .m.—1:15 p.m. 2:00 p.m.—4:00 p.m. 2:00 p.m.—4:00 p.m.
Event
Breakfast Open Plenary Session 1. Beginning clinical session for LARC insertion 2. Intermediate clinical session for LARC insertion 3. LARC Administrators session Boxed Lunch 1. Beginning clinical session for LARC insertion—
device Training. 2. Intermediate clinical session for LARC
insertion—device Training. 3. LARC Administrators session– Billing & Coding Optional office hours: Hands-on clinical training continued.
Breakfast Expert Provider Panel Discussion Clinical session for LARC insertion—device training for all levels. LARC Symposium Luncheon RSVP Required: Nexplanon Training and Certification Optional office hours: Hands-on clinical training continued.
Tuesday, June 7, 2016
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Monday, June 6, 2016
Time 8:00 —9:00 a.m. 9:00 —10:15 a.m. 10:30 a.m.—12:00 p.m. 12:00 —12:30 p.m.
Event Breakfast Opening Plenary
Dr. Larry Wolk, CDPHE Executive Director and Chief Medical Officer
Rachel Benson Gold, Vice President for Public Policy, Guttmacher Institute
Dr. Stephanie Teal, Professor, Obstetrics and Gynecology, Family Planning Univer-sity of Colorado.
TRACK 1: LARC for Beginners Lead Trainers: Jane Lose and Liz Romer
LARC overview, clinical guidelines, coun-seling techniques, and Q & A.
TRACK 2: LARC for Intermediate Lead Trainer: Brandy Mitchell
LARC overview, troubleshooting difficult LARC cases, managing side effects, case studies and Q and A.
TRACK 3: LARC for Administrators Lead Trainer: Amanda Kimber
Stocking devices, reimbursement tips and tricks, patient assistant programs, white bagging and payment options
Boxed Lunch Break
Room 100’s Corridor 108-112 108-112 210-212 208
100’s Corridor
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Monday, June 6, 2016
The device training tracks are on a tight schedule. Please help us honor these strict timelines so everyone can attend the training session they need.
Thank you.
Time
12:30 —1:30 p.m. 1:30—2:20 p.m. 2:20—2:30 p.m. 2:00—3:30 p.m. 3:30—4:30 p.m. 4:45—5:30 p.m.
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Event TRACK 1: Liletta® IUS device training for Beginners TRACK 2: ParaGard® IUD device training for Intermediate TRACK 3: LARC for Administrators: Clinic Efficiencies for successful LARC programs with RT Welter & Associates. TRACK 1: Skyla® IUS & Mirena® IUS device training for Beginners TRACK 2: Liletta device training for Intermediate TRACK 3: LARC for Administrators: Billing and Coding with RT Welter & Associates Break TRACK 1: Paragard device training for Beginners TRACK 2: Skyla and Mirena device training for Intermediate TRACK 3: LARC for Administrators: Billing and Coding continued with RT Welter & Associates TRACK 1: Beginning LARC Wrap-Up TRACK 2: Intermediate LARC Wrap-up TRACK 3: LARC for Administrators: Wrap-Up Optional Office Hours for Clinical training
Room 108-112 210-212 208 108-112 210-212 208 100’s Corridor 108-112 210-212 208 108-112 210-212 208 108-112
Monday, June 6, 2016
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Time
8:00 —9:00 a.m. 9:00 —10:15a.m. 10:30 —11:45 a.m. 12:00—1:15 p.m. 1:30 —3:00 p.m. 2:00 —4:00 p.m.
Event Breakfast Expert Provider Panel Discussion Hands On Clinical Training– all devices, all levels LARC Symposium Luncheon RSVP Required Optional Office Hours: Practice LARC insertion with Pelvic Sim models and other tools Nexplanon Training and Certification RSVP Required
Room 100’s Corridor 108-112 210-212 108-112 208 210-212
Tuesday, June 7, 2016
In order to continue the hands-on training component, please ensure you bring your LARC training kits back to the Symposium on Day 2.
Slides and handouts from each conference session are available on the CDPHE family planning program website.
www.colorado.gov/cdphe/family-planning
Wireless internet access is available to all participants. When connecting to the wireless internet: Select the network: Complimentary WIFI Connecting does not need a password. Complimentary Wi-Fi does have a 10 minute idle timeout.
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At the beginning and end of the conference, we will have a one-page survey for participants. Please help us learn the outcomes of the conference by taking a few minutes to fill it out. Thank you.
The Colorado Convention Center provides access to 1,000 space onsite covered parking garage. The garage is open 24 hours a day, 7 days a week. Automated pay stations are located throughout the garage and accept cash and most major credit cards. Parking Rates (for up to): 8 hours: $12 12 hours: $15 18 hours: $17 24 hours: $25 Additional parking options are available throughout the surrounding area.
Long-Acting Reversible Contraception (LARC) Symposium June 6 - 7, 2016
Information for Participants
Learner Objectives Upon completion of this program, participants should be able to:
Competently counsel clients for IUD and contraceptive implants
Insert IUDs and implant contraceptives
Bill and code for LARC, including complications
Manage clinic scheduling for LARCs. CME Credit
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Colorado Medical Society and the Colorado Department of Public Health and Environment. The Colorado Medical Society is accredited by the ACCME to provide continuing medical education for physicians. The Colorado Medical Society designates this live activity for a maximum of 10.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Instructions for Receiving CME Credit If you wish to receive CME credit you must sign-in at registration, and com-plete a brief evaluation survey/request for credit, which will be sent to your email address shortly after the symposium. The Colorado Medical Society issues CME certificates by email approximately 3 weeks after the conference. If you have any questions about CME please contact the conference organizer, or the CMS CME office at 720-858-6309 or [email protected].
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Summary of Financial Relationships Disclosures for CME The Accreditation Council for Continuing Medical Education requires that all speakers and others in control of the content of this CME activity report rele-vant financial relationships with commercial interests that could have a real or potential conflict of interest. The following relationships were reported: Jane Lose – Merck, provider trainer Nexplanon (unpaid) Brandy Mitchell – Merck, speaker/trainer Nexplanon; Actavis, speaker/trainer Liletta Sarah Elizabeth Romer – Merck, trainer Nexplanon All other speakers or planners in control of the content of this activity have reported no relevant financial relationships with commercial interests.
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Karen Artell Karen Artell, MS, JD, CNM, works at the Colorado Department of Public Health and Environment (CDPHE) as the Nurse Consultant for Colorado’s Title X Family Planning Program and has held this position for five years. She assists family planning clinical staff with quality assurance and quality improvement activi-ties and training and information regarding national clinical guidelines and rec-ommendations for clinical care. Work experiences include more than 20 years as a clinician at a local public health agency providing reproductive health care. She worked as a labor and delivery RN prior to returning to school to pur-sue an advanced degree. She received her MS from the University of Colorado, College of Nursing, Nurse Midwifery Program and her JD from the University of Denver College of Law. Rachel Benson Gold Rachel Benson Gold joined the staff of the Guttmacher Institute in 1979 and is currently Vice President for Public Policy. She directs the Institute’s public pol-icy efforts with an emphasis on policy analysis and state policy development. She is the author of several reports and articles with a particular focus on the delivery and financing of publicly funded family planning services in the United States. Ms. Gold has served on the Board of Directors of the National Family Planning and Reproductive Health Association and the Southern Regional Pro-ject on Infant Mortality and is a Lecturer in Health Policy at the George Wash-ington University School of Public Health and Health Services. Ms. Gold earned a Bachelor of Arts from Wesleyan University and a Master of Public Affairs from the Woodrow Wilson School of Public and International Affairs at Princeton Uni-versity. Kathy Brown CNM Kathy Brown is a Certified Nurse Midwife with a love of Public Health. She has extensive experience in Women’s Health, caring for partners and families, and managing the birth process. For the City and County of Broomfield, Kathy runs the Reproductive Health Clinic, the HOPE/Prenatal-Plus Program, and Immuni-zations. She currently oversees the SIM grant for Boulder/Broomfield address-ing behavioral health stigma reduction and linkage to care. Kathy has expanded the reproductive services in Broomfield to include men’s health. She has increased community outreach by partnering with local high schools and other healthcare entities. She received both her Bachelor of Sci-ence in Nursing and Masters of Science, Nurse-Midwifery from the University of Colorado.
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Rebecca Cohen, MD Dr. Rebecca Cohen is a 2nd year fellow in Family Planning. She attended the Ohio State University for medical school, completed her internship at Emory University, and her residency at the University of Illinois in Chicago. She is an advocate for all aspects of women’s health, and her research interests include adolescent contraceptive choice and patient counseling. Angela Fellers LeMire, MS, NP-C Angela Fellers LeMire began her Public Health career in 1998 at Denver Health Medical Center. She received her Master of Science in Nursing and Women’s Healthcare Nurse Practitioner degree in 2002 from the University of Colorado. From 2002 to 2013, Angela practiced at Tri-County Health Department in the Title X Family Planning Clinic and at the Denver Metro Health (STD) Clinic (DMHC). At DMHC, she implemented the Colorado Family Planning Initiative LARC Expansion Grant. She has served as a faculty lecturer and preceptor at the Denver Prevention Training Center, co-chair of Colorado Cancer Coalition’s Statewide Ovarian Cancer Task Force and as a member of the Statewide Breast Cancer Task Force. Angela is currently the Nurse Consultant for the Women’s Wellness Connection at the Colorado Department of Public Health and Environ-ment. Her expertise is focused on improving access to healthcare by reducing barriers to preventive services, including LARC contraceptives and cancer screenings. Jennifer Heuer Jennifer L Heuer, CPC, has over 20 years of medical management experience and is the Operations Director at RT Welter and Associate and its sister compa-nies. Understanding what challenges physicians and practices face in this healthcare environment, she is able to assist practices with increasing practice performance and productivity in an effort to help them achieve their highest potential and greatest profitability.
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Jennifer Johnson, NP Jennifer Johnson, NP is a clinical instructor in the department of pediatrics and adolescent medicine at the University of Colorado. Jennifer received a bache-lor’s degree in sociology from UCLA and a masters of science in nursing from Van-derbilt University, with a specialty in women’s health. Jennifer is starting at Vanderbilt University in the fall seeking a post masters in psychiatric mental health nursing. She currently works in the adolescent family planning clinic (Title X) at Children’s Hospital of Colorado. It is a Title X family planning clinic, BC4U, well known throughout CO. Jennifer is actively involved in training pedi-atric residents in adolescent contraception and in training elective residents (from pediatrics, internal medicine and family medicine) and nurse practitioner students in adolescent contraceptive counseling and LARC procedures. Amanda Kimber Amanda Kimber is a Director of Health Care Delivery at the National Family Plan-ning & Reproductive Health Association (NFPRHA) in Washington, DC. Amanda’s work at NFPRHA supports agencies that provide publicly funded family planning services through identifying and disseminating business best practices. Prior to joining NFPRHA, Amanda worked at Planned Parenthood of the Heartland in Des Moines, Iowa, first as a community organizer and then as a lobbyist and policy analyst. Amanda began her professional career as a legislative aide for Iowa State Senator Amanda Ragan. Amanda holds a Masters of Public Administration from Drake University and received her undergraduate education in Political Sci-ence from the University of Iowa. She is also a certified professional medical coder and member of the American Academy of Professional Coders. Amanda resides in Washington, DC. Jane Lose, CNW, NP Jane Lose is a Nurse Midwife and Nurse Practitioner, who has been in practice since 2002, when she graduated from Yale University. She has been living in Den-ver for the past 10 years, and has worked at Metro Community Provider Network (MCPN) for the 8 years, the past 3 as Associate Medical Director of Women’s Ser-vices. Brandy Mitchell Brandy Mitchell is an Adult and Women’s Health Nurse Practitioner. She has pro-vided reproductive health care services in a wide variety of clinical settings to males and females across the lifespan. During her career, she has preformed thousands of IUD and implant procedures and is regarded as an expert in contra-ception. As the Family Planning Clinical Coordinator for Denver Health for 5+ years, Brandy provided classroom and hands-on LARC training to students and licensed providers from across Colorado. She loves to teach and share her knowl-edge and passion for reproductive health care. Brandy earned her BSN from the University of Iowa, her CNM from University of Washington, Seattle and is cur-rently working on her Doctorate at the University of Colorado.
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Molly Richards, MD Molly Richards, MD is an Assistant Professor of Pediatrics at the University of Colorado School of Medicine. Dr. Richards received her bachelor’s degree (Psychology) from University of California, Berkeley and her medical degree at Ben Gurion University. She completed her pediatric residency at Rainbow Ba-bies and Children’s Hospital; a Case Western Reserve University affiliated hos-pital. She then completed her Adolescent Medicine fellowship at the Chil-dren’s Hospital Colorado. She currently serves as a faculty member in the Section of Adolescent Medicine in the Department of Pediatrics at University of Colorado School of Medicine. She works in the Adolescent Medicine General Clinic, the Family Planning Spe-cialty Clinic and works in collaboration with the Eating Disorders program at Children’s Hospital Colorado. Dr. Richards is the Director of the pediatric residents Adolescent Medicine Clinical Rotation and of the elective rotation for the Title X Family Planning Clinic. Research interests include adolescent males involvement in contraceptive decision making, adolescent contracep-
tive counseling and LARC initiation and use in adolescents.
Liz Romer, DNP, MS Liz Romer is an assistant professor in the department of pediatrics, section of Adolescent Medicine, at University of Colorado School of Medicine. She has over 13 years of experience in the field of family planning and Title X admini-stration. She holds a BA in Sociology from Wesleyan University and received her Nursing Doctorate and Masters of Science in Nursing from the University of Colorado. In her current position she is able to pursue her passion for young women's health, while exploring innovative new ways of connecting with ado-lescents and young adults. Liz is a nurse practitioner who splits her time be-tween patient care and program administration. She directs a team of nurse practitioners in 4 clinic locations in Colorado Springs and the Denver metro area serving over 4000 patients annually. Additionally she recently co-authored an article about Long-Acting Contraceptive Awareness in Adoles-cents in the Journal of Adolescent Health as well as presented her clinical work on developmental approaches to contraception counseling in adolescent patients at the Society of Family Planning and the National Association of Pe-diatric and Adolescent Gynecology.
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Stephanie Teal, MD, MPH Dr. Stephanie Teal received her undergraduate degree from Stanford Univer-sity and her medical degree at the University of California School of Medicine in San Francisco. She completed her internship and residency training in Ob-stetrics and Gynecology at the University of California, San Diego, and later held a fellowship in Family Planning at New York Presbyterian Hospital (Columbia Campus). She received her Master of Public Health Degree in Epi-demiology from Columbia University. Dr. Teal has received many awards for teaching, mentorship, research, and clinical care. She is most proud of being the recipient of the Faith and Free-dom Award from the Religious Coalition for Reproductive Choice, when she was recognized for her work promoting reproductive health for disadvantaged women. As director of the Special Contraception Clinic, she concentrates on safe and effective contraception for women with a variety of medical disor-ders, from lupus to diabetes and cystic fibrosis. In addition to her work at University of Colorado OB/GYN & Family Planning, Dr. Teal serves as the Medical Consultant for the Colorado Department of Public Health Family Planning Program, and as Medical Director of the Adoles-cent Family Planning Clinic at Children’s Hospital Colorado. She also teaches women’s health to community groups and to professional organizations of physicians, midwives and nurse practitioners. Amy Weber, NP Amy Weber, NP, is a clinical instructor in the department of pediatrics and adolescent medicine at the University of Colorado. Amy received a bache-lor’s degree in Nursing from the University of Wyoming and a Master’s degree from the University of Colorado, with a specialty in women’s health. She has worked in different Title X family planning clinics for the past 7 years. Amy is currently working in the adolescent family planning clinic (Title X) at Chil-dren’s Hospital of Colorado. It is a Title X family planning clinic, BC4U, well known throughout CO. She is currently training residents from (pediatricians, internal medicine and family medicine doctors) and nurse practitioner stu-dents in adolescent contraceptive counseling and LARC procedures.
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R. Todd Welter, MS, CPC Mr. Welter has over 25 years of managed care and medical business ex-perience. He has been on faculty at Regis University for over 15 years, teaching “Fundamentals of Managed Care.” He is also faculty at the Uni-versity of Denver and has been teaching “Healthcare Macroeconimics” for over 7 years. Mr. Welter speaks all over the country for many public health and rural health organizations. Larry Wolk, MD, MSPH Dr. Larry Wolk is Executive Director and Chief Medical Officer for the Colo-rado Department of Public Health and Environment. Since joining the de-partment in September 2013, Dr. Wolk’s mission has been to simplify the health system for the citizens of Colorado and to position the department as the leader in providing evidence-based health and environmental infor-mation. During his tenure, he has overseen flood recovery, a federal shut-down, and the promulgation of the nation’s first air quality rules specific to methane reduction for oil and gas operations. His new frontier is ad-dressing the myriad issues surrounding medical and retail marijuana. Before coming to the department, Dr. Wolk served as Chief Executive Offi-cer of CORHIO, Colorado’s nonprofit health information exchange. He was an executive with Correctional Healthcare Companies, Blue Cross/Blue Shield of Colorado, Prudential Healthcare of Colorado, and CIGNA Health-care. In 1996, Dr. Wolk founded the Rocky Mountain Youth Clinics, one of Colorado’s largest safety net clinics and a national model for providing care to the uninsured. He continues to practice medicine there. Dr. Wolk has received many honors, including Colorado Pediatrician of the Year, Denver Business Journal Healthcare Executive of the Year, and the 7News Denver Everyday Hero award. Toni Woods Toni M Woods, CCS, CPC is a nationally known speaker and educator with credentials from the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). She has vast experience in inpatient and outpatient coding, compliance, billing and reimbursement. She has focused a lot of time in the past few years teaching public health organization across the country, on properly coding and billing for the services they provide and maximizing reimbursement.
The Colorado Department of Public Health and Environment thanks the Foundations that helped to support this LARC Symposium. The Ben and Lucy Ana Walton Fund of the Walton Family Foundation Buell Foundation Caring for Colorado Foundation Chambers Family Fund The Colorado Health Foundation The Colorado Trust Community First Foundation The Community Foundation Serving Boulder County The Denver Foundation Global Health Foundation Kaiser Permanente Piton Foundation at Gary Community Investments Rose Community Foundation The Women’s Foundation of Colorado
Thank you to all of the volunteers who shared their time
and talent with CDPHE. We cannot do our work without you!
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CDPHE’s Long-Acting, Reversible Contraceptive Project was created in 2008 to increase Title X clients’ access to long-acting reversible contra-ceptives (LARC) and expand access to family planning services. More than $25 million has been invested in this eight-year effort through an anonymous donor to remove barriers of these highly efficacious, but ex-pensive methods of family planning. Title X agencies have developed lo-cal approaches for expanding family planning services that include in-creased family planning staff, expanded clinic hours, additional clinic sites, improved collaboration with local providers and community organi-zations, the purchase of equipment, improvements to clinical space and outreach strategies to inform potential clients. It was a game changer - successful beyond our dreams. The following was achieved from 2009 through 2014: The initiative provided over 40,000 low-cost LARCs to low-income
women. The birth rate for young women ages 15 to 19 fell 48 percent. Birth rates among women ages 20 to 24 dropped 20 percent. The number of repeat teen births (teens giving birth for the
second or third time, etc.) dropped 58 percent. The abortion rate fell 48 percent among women ages 15-19
and 18 percent among women ages 20-24. The use of LARCs increased from one in 170 to one in 15
among low-income women ages 15-24 in participating clinics. LARC use at family planning clinics participating in the initia-
tive increased from 4.5 percent to 29.6 percent (Nationally, only 7.2 percent of women use LARCs).
The number of Title X clients served in Colorado each year grew from approximately 52,000 to 68,000.
Medicaid savings amounted to an estimated $79 million over three years.
Contact Colorado Department of Public Health and Environment’s Family Planning Staff at 303.692.2301
